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29th annual

Music City

Creative Ministries Conference

Nov. 7 - 9, 2019

Connell Memorial United Methodist Church

113 Church Street, Goodlettsville, TN 37072

REGISTRATION FORM

___ Adult Registration @ $40 each 

___ Family Registration @$60 2 adults +kids or grandkids age 17 & under

(All youth, 17 and under, attending conference must be accompanied by an adult..)

___ 1 Day Registration @ $20 each Specify which day attending __________

Print clearly so badges are correct. List each person below and ages of youth and children.

Name ____________________________________________________ FCM # ___________

Address________________________________________________________________

City____________________________________ State____________ Zip___________

E-mail _________________________________________________________________

1st time attending?___Y ___N

Magic / Vent / Clown / Puppet / Balloons / Juggling / Face Painting / Storytelling (Circle all interests)

Name ________________________________________________ If Youth, list age _____

Name ________________________________________________ If Youth, list age _____

Name ________________________________________________ If Youth, list age _____

Name ________________________________________________ If Youth, list age _____

Total Registration $_________ Please make check to: MIDDLE TN FCM

Mail check and registration to:

Middle TN FCM c/o Annette Hunter

121 Cumberland Circle, Gallatin, TN 37066

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